You've performed surgery on Ivan against your will

Even though Dostoevsky ordered you to perform it, you still felt bad for Ivan. Even while working for Dostoevsky, you have something like sympathy

So you stayed with him, giving him everything he needed. Meds, food, water, and even words

He's sitting on his bed while looking at the spoon you have there and the medications you need to give him

"And what exactly is it?"

He cocks his head